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Scaling-Up HIV Treatment  Experience from Cameroon in Operational Research: Main outcomes   Sinata Koulla-Shiro MD Chief, Division Of Operations Research, Cameroon, Vice Chair, National AIDS Control Committee and Infectious Disease Service,Yaoundé Central Hospital XVII International AIDS Conference 3-8 August 2008, Mexico City
OUTLINE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Background (1/2) ,[object Object],[object Object],[object Object]
Background (2/2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Number of people receiving antiretroviral therapy in low- and middle-income countries, 2002–2007
Antiretroviral therapy coverage in sub-Saharan Africa, 2003–2007
Women as a percentage of all people receiving antiretroviral therapy versus women as a percentage of all people needing treatment, selected low- and middle-income countries, 2007a 10%  40%  50%  60%
The public health approach to scaling up antiretroviral therapy
Cameroon Approach to Scaling –Up  HIV Drug Access  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Source: NACC Progress Report
National Coverage of Antiretroviral Treatment Sites in Cameroon, 2005  Source: NACC
Accredited Treatment centres (ATC) Mentors per province Management Units(MU) Number of MU mentored  National Coverage of ART Management Units and Mentors,  2006 5 12 4 4 7 5 4 6 5 5
Figure 6 :  Evolution du nombre des malades sous  ARV au Cameroun: juillet 2005 à décembre 2007 Source:  NACC,  2008
 
Adult First Line ARV Regimens used in Cameroon, 2008 Source: NACC Progress Report, April 2008
Source: NACC Progress Report, April 2008 First Line ARV Regimens used for Children in Cameroon, 2008
 
 
Components of Scaling-Up Operations Research ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Eval  ANRS 12116 Study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outcome of decentralization ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Impact of 3 scenarios on HIV infection in sub-saharan Africa, 2003-2020

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Wesat2001

  • 1. Scaling-Up HIV Treatment Experience from Cameroon in Operational Research: Main outcomes Sinata Koulla-Shiro MD Chief, Division Of Operations Research, Cameroon, Vice Chair, National AIDS Control Committee and Infectious Disease Service,Yaoundé Central Hospital XVII International AIDS Conference 3-8 August 2008, Mexico City
  • 2.
  • 3.
  • 4.
  • 5. Number of people receiving antiretroviral therapy in low- and middle-income countries, 2002–2007
  • 6. Antiretroviral therapy coverage in sub-Saharan Africa, 2003–2007
  • 7. Women as a percentage of all people receiving antiretroviral therapy versus women as a percentage of all people needing treatment, selected low- and middle-income countries, 2007a 10% 40% 50% 60%
  • 8. The public health approach to scaling up antiretroviral therapy
  • 9.
  • 11. National Coverage of Antiretroviral Treatment Sites in Cameroon, 2005 Source: NACC
  • 12. Accredited Treatment centres (ATC) Mentors per province Management Units(MU) Number of MU mentored National Coverage of ART Management Units and Mentors, 2006 5 12 4 4 7 5 4 6 5 5
  • 13. Figure 6 : Evolution du nombre des malades sous ARV au Cameroun: juillet 2005 à décembre 2007 Source: NACC, 2008
  • 14.  
  • 15. Adult First Line ARV Regimens used in Cameroon, 2008 Source: NACC Progress Report, April 2008
  • 16. Source: NACC Progress Report, April 2008 First Line ARV Regimens used for Children in Cameroon, 2008
  • 17.  
  • 18.  
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  • 21.
  • 22. Impact of 3 scenarios on HIV infection in sub-saharan Africa, 2003-2020